go back

Nebraska rates for HCPCS L5984

All Endoskeletal Lower Extremity Prostheses Axial Rotation Unit With Or Without Adjustability (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.95 / $510.95 / $510.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.95 / $510.95 / $602.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.20 / $774.62 / $782.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $881.34 / $881.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.25 / $881.34 / $1,359.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.42 / $868.62 / $3,613.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.04 / $454.82 / $666.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.76 / $881.34 / $1,110.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.82 / $1,038.72 / $1,815.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.04 / $450.76 / $525.65